Organization
ORTHOPEDIC PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEDORA L MATOSKA CMPE, CPC (MANAGER BILLING SERVICES)
(603) 527-3866
Entity
Organization
Contact information
Practice address
14 MAPLE ST, SUITE 100, GILFORD, NH 03249-6580
(603) 528-9011
(603) 524-5743
Mailing address
14 MAPLE ST, SUITE 100, GILFORD, NH 03249-6580
(603) 528-9011
(603) 524-5743
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
8510
NH
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81203738
—
NH
01
—
CB4367
RAILROAD MEDICARE
NH
Enumeration date
12/29/2005
Last updated
06/03/2009
Update your record
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